Project Manager Ii Jobs

Come join a friendly and diverse clinical team that provides quality care! Community Healthlink (CHL) recognizes the power of a diverse community and seeks applications from individuals with varied experiences, perspectives, and backgrounds. Community Healthlink (CHL) is looking for a full-time (37.5 hrs/wk) Project Manager II in Worcester.

Community Healthlink, Inc. is a multi-service, private, non-profit organization committed to promoting, maintaining and restoring the dignity, well-being and mental health of individuals and families in Central Massachusetts.

Seeking a Project Manager with excellent written and oral communication skills, organizational skills and ease in relating to a wide variety of individuals.

Must have the ability to convey passion for our mission of helping people who are dealing with mental illness, addiction, and or homelessness. Designs and implements institutional quality systems and measures progress to ensure sustained outcomes and continuous quality improvement. Is knowledgeable about the IT systems used at CHL so data can be retrieved to guide, inform and support quality management.

Essential

• Meet budgetary objectives and adjust to project constraints based on financial analysis.
• Crafts, reviews with appropriate stakeholders, and delivers desired/required communications for projects with limited supervision.
• Able to conduct business analysis on different projects across the agency.
• Manages projects according to plan. Measures and raises concerns or risks as appropriate with limited supervision.
• Perform risk management to minimize project risks.
• Assist in the definition of project scope and objectives, involving all relevant stakeholders and ensuring technical feasibility.
• Ability to work on multiple projects at once.
• Engages in all necessary training that is related to job performance.
• Able to read, understand and collaborate on budgets, and other financial documents.
• Helps track and document completion of work plan activities.
• Able to facilitate meetings effectively.
• Able to independently manage assigned projects from initiation, planning, executing, monitoring/controlling, and closing stages.
• Collects and analyzes project or program metrics.
• Collects data and performs analysis to assist in preparing portfolio, program, or project progress reports.
• Monitors and tracks project budgets.
• Able to lead and collaborate with various teams/committees with limited supervision.
• Excellent public speaking and presentation skills.
• Identifies and participates in quality improvement projects/activities.

Standard

• Knowledge of Excel, Microsoft Project, Word, PowerPoint, and Outlook.
• 3 years of Project Management experience.
• Must have or be willing to work towards a project management professional certification upon hire.
• Complies with established division and program policies, procedures, and objectives.
• Bachelor's Degree in Business Administration, with concentration in Project Management, Health Care Administration. Preferred Project Management focus.
• Maintains regular, reliable, and predictable attendance.
• Performs other related duties.
• Complies with all health and safety regulations and requirements.
• Demonstrates use of quality improvement in daily operations.
• Maintains confidentiality.
• All candidates will be subject to a CORI review as outlined in the regulations set by the Massachusetts Executive Office of Health and Human Services. For more information, click here
• Attends variety of meetings, conferences, and trainings as required or directed.
• Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.

Community Healthlink is an Affirmative Action/ Equal Opportunity Employer. We do not discriminate in employment and personnel practices on the basis of race, sex, gender identity, age, ancestry, disability, religion, national origin, marital status, sexual preference, political affiliation or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items.

If applicable, Community Healthlink shall also abide by the requirements of 41 CFR 60-300.5(a) and 41 CFR 60-741.5(a). These regulations prohibit discrimination against qualified protected veterans and qualified individuals on the basis of disability. These regulations require affirmative action by Community Healthlink to employ and advance in employment qualified protected veterans and individuals with disabilities.

Come join a friendly and diverse team that provides quality care! Community Healthlink (CHL) recognizes the power of a diverse community and seeks applications from individuals with varied experiences, perspectives, and backgrounds. Community Healthlink (CHL) is looking for a full-time (37.5 hrs/wk) Contracts and Provider Enrollment Administrator at our Worcester site.

Under the supervision of the Director of Compliance and Privacy Officer, the Contract and Provider Enrollment Administrator is responsible for managing all aspects of contracts and agreements, provider enrollment, facility credentialing, and relationship building with the health plans, Medicaid, DPH, BSAS and other funders. These duties include, but are not limited to, preparing, revising, negotiating, examining, and amending all contracts. They also include accurate and timely provider enrollment, credentialling, third-party contract revenue projection, rate and claim volume forecasting, and analyzing the documents in alignment with industry-accepted standards. Contract types include, but are not limited to, service contracts, third-party contracts, and university agreements. This position will be responsible for ensuring that all contracts and agreements are in compliance with CHL policies, legal, state and federal statutory and regulatory requirements

• Respects diverse views and approaches and contributes to maintaining an environment of professionalism, tolerance, civility, and acceptance toward all employees, patients, and visitors.
• Has strong negotiation and mediation skills
• Communicate with vendors and third-party health plans to ensure accurate and timely implementation and execution.
• Possesses superior attention to detail in order to spot inconsistencies in contracts
• Complies with all health and safety regulations and requirements.
• Maintains Provider Enrollments Prepares individual provider applications, staff rosters, re-enrollment, and terminations forms and submits them to 3rd party insurance plans.
• In instances where mail addressee is not identified, review and distribute to applicable party.
• Maintains Facility Enrollments Prepares and submits facility and site applications to 3rd party insurance plans, and Medicaid and Medicare.
• Maintains strict confidentiality with regards to protected health information, and both understands and adheres to CHL Privacy & Security policies and procedures
• Work in collaboration with the Compliance Team on Special Projects.
• Maintains a solid understanding of Medicare and Medicaid reimbursement methodologies for service lines.
• Attends variety of meetings, conferences, and trainings as required or directed.
• Negotiate and approve all contract terms while ensuring that projects remain within the established budget.
• Ensure and take responsibility for all steps of provider enrollments.
• Exemplifies knowledge of contract law, accounting principles and finance
• Knowledge of contracting concepts and principles.
• Maintains confidentiality.
• Develop contract proposals to support organizational goals.
• Solid understanding of Medicare and Medicaid reimbursement methodologies and community health reimbursement health care services and contracting methodology.
• All candidates will be subject to a CORI review as outlined in the regulations set by the Massachusetts Executive Office of Health and Human Services. For more information, click here.
• Strong computer skills in standard PC word processing, spreadsheet and database applications (such as those found in the Microsoft Office Suite)
• Supports credentialing Helps with provider credentialing tasks and accesses confidential and secure federal, state, and private databases.
• Complies with established division and program policies, procedures, and objectives.
• Work with VP's (or designee) to determine and outline contract scopes.
• Create regular status reports regarding progress on contract submission and approval.
• Undergraduate Degree in a Business-related curriculum, Master's Degree preferred.
• Communicates with Payers Interacts directly with 3rd party insurance plans to insure email and package receipt, track applications, verify accurate provider status, and resolve issues.
• Must have excellent analytical thinking skills and problem-solving abilities
• Maintains regular, reliable, and predictable attendance.
• Demonstrates use of quality improvement in daily operations.
• Serve as subject matter expert within the department and company-wide for services assigned and contracting issues in general.
• At least 3 years' experience in a governmental, health care, managed care, or non-profit contracting role.
• Analyze contracts to ensure they comply with state and federal laws and regulations.
• Background in managed care provider contracting including, community health center, behavioral health, and/or physician groups.
• Previous experience as a project manager, or coordinating large projects is an asset

Community Healthlink is an Affirmative Action/ Equal Opportunity Employer. We do not discriminate in employment and personnel practices on the basis of race, sex, gender identity, age, ancestry, disability, religion, national origin, marital status, sexual preference, political affiliation or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items.

If applicable, Community Healthlink shall also abide by the requirements of 41 CFR 60-300.5(a) and 41 CFR 60-741.5(a). These regulations prohibit discrimination against qualified protected veterans and qualified individuals on the basis of disability. These regulations require affirmative action by Community Healthlink to employ and advance in employment qualified protected veterans and individuals with disabilities

Essential

• Able to conduct business analysis on different projects across the agency.
• Identifies and participates in quality improvement projects/activities.
• Manages projects according to plan. Measures and raises concerns or risks as appropriate with limited supervision.
• Perform risk management to minimize project risks.
• Able to independently manage assigned projects from initiation, planning, executing, monitoring/controlling, and closing stages.
• Collects data and performs analysis to assist in preparing portfolio, program, or project progress reports.
• Able to facilitate meetings effectively.
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• Assist in the definition of project scope and objectives, involving all relevant stakeholders and ensuring technical feasibility.
• Monitors and tracks project budgets.
• Excellent public speaking and presentation skills.
• Collects and analyzes project or program metrics.
• Meet budgetary objectives and adjust to project constraints based on financial analysis.
• Ability to work on multiple projects at once.
• Engages in all necessary training that is related to job performance.
• Able to read, understand and collaborate on budgets, and other financial documents.
• Helps track and document completion of work plan activities.
• Crafts, reviews with appropriate stakeholders, and delivers desired/required communications for projects with limited supervision.